JOHN D. PETERS, M.D., P.C. (NPI# 1922336353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922336353 |
| Entity Type | Organization |
| Organization Name | JOHN D. PETERS, M.D., P.C. |
| Practice Address |
7802 Davenport St Omaha NE 68114-3629 |
| Practice Telephone | 4023971815 |
| Practice Fax Number | 4023970673 |
| Mailing Telephone | 4023971815 |
| Mailing Fax Number | 4023970673 |
| Enumeration Date | 2009-11-23 |
| Last Update Date | 2009-11-23 |
| Authorized Official Name | DR. JOHN D PETERS (PRESIDENT) |
| Authorized Official Telephone | 4023971815 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | 18103 | NE | Managed Care Organizations |
| Street Address |
7802 DAVENPORT ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68114-3629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881740728 | Mack Edward Greder II | Dentist | 7802 Davenport St, Omaha, NE 68114-3629 | 2007-01-25 |
| 1952568784 | John D Peters Md PC | Ophthalmology | 7802 Davenport St, Omaha, NE 68114-3629 | 2008-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689237356 | Jared Nathan Holthaus | Optometrist | 625 N. 98th St, Omaha, NE 68114 | 2019-04-18 |
| 1346701869 | On Site Health and Wellness, LLC | Dietitian, Registered | 7905 Pacific Street, Omaha, NE 68114 | 2019-03-27 |
| 1801301205 | Logan Johnson | Specialist/Technologist | 8803 Webster Plz, Omaha, NE 68114 | 2017-12-06 |
| 1992224687 | Douglas Medical Supplies | Durable Medical Equipment & Medical Supplies | 7914 W Dodge Rd Ste 916, Omaha, NE 68114 | 2017-09-13 |
| 1023568540 | Active Spine Physical Therapy, LLC | Clinic/Center | 10110 Nicholas St Ste 100, Omaha, NE 68114 | 2016-10-07 |
| 1417400706 | Kayla Ann Leddy | Counselor | 7701 Pacific St Ste 100a, Omaha, NE 68114 | 2016-08-03 |
| 1134561103 | Julio Cesar Deleon Iv | Counselor | 9212 California Plaza #308, Omaha, NE 68114 | 2013-07-19 |
| 1477992261 | Nicole Janine Lecci | Dentist | 8910 Indian Hills Drive, Suite 200, Omaha, NE 68114 | 2013-06-14 |
| 1538504436 | Christian Louis Barney | Radiology | 8303 Dodge St Ste Ll6, Omaha, NE 68114 | 2013-05-06 |
| 1558606665 | Nbd Solutions | Durable Medical Equipment & Medical Supplies | 327 N 78 Street, Omaha, NE 68114 | 2012-11-29 |
| Find all providers in zip 68114 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194096065 | Jones Family Dental PC | Point of Service | 6530 Sorensen Pkwy, Omaha, NE 68152-2138 | 2012-01-24 |
| 1740592534 | Triba Chiropractic Clinic, P.C. | Point of Service | 2720 S 114th St, Omaha, NE 68144-4712 | 2010-07-08 |
| 1396012076 | Gary A Elsasser D C P C | Point of Service | 11906 I St, Omaha, NE 68137-1244 | 2011-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811331762 | Safeway Pharmacy | Point of Service | 4246 450th Rd, Hay Springs, NE 69347-4236 | 2013-04-23 |
| 1730385709 | Granville Assisted Living, LLC | Point of Service | 5807 Granville Parkway, La Vista, NE 68128 | 2007-06-26 |
| 1528344280 | Walgreens Pharmacy | Point of Service | 533 S Lincoln Ave, York, NE 68467-4211 | 2011-10-26 |
| 1780861948 | Healing Hands Wellness Center Inc | Point of Service | 106 S Maple St, Plainview, NE 68769-4124 | 2008-01-29 |
| 1700955929 | Optical Options | Point of Service | 715 N Kansas Ave, Suite 300, Hastings, NE 68901 | 2006-11-06 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.